There is a complete lack of any IT at most nursing homes. Patients frequently come from multiple sources, such as community and tertiary hospitals. Patients bring with them stashes of paper-- labs, radiology reports, discharge summaries etc. Trying to put all the information together to get a complete view of a patient is nearly next to impossible. It is at the nursing homes where IT- RHIOs/HIEs and telemedicine can have a real impact in the quality of care of patients. I'm happy to see long-term care finally get some attention.